HomeMy WebLinkAbout2124 Declaration of Domicile and Citizenship
TO TE[E STATC ANU COUN'fY TAX ASSGSSOR, - 314'~p
ST. LUCIE CpUNTY, FLORlDA: ~ ~
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Tl~is is my drelaration nf Domicilc and Citizenship in the Statc of Florida that 1 am iiling this day in ~
accordance, and in canformity with Section 222.17,.FIcr~icla Statutcs. '
1 was fo~ty a tegai residcnt of ~ ~`aJ and 1 .
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nsidcd at ,t~t. ~d~ , Howcvcr, I havc changcd my domicilc to
Street aed NumAer) -
and ~am and have bcen a bona fide residcnt of the State of Florida since ~ day of
, 19~ and I reside at ~ ~L ~ ~ -
~ ,p ~ (Saeet ~od Nua~ber)
~ ~~c~~-~~'-~ ~ County, Florida,
(~~7) ' . -
and this statement is to be taken as my declaration of citizenship, actual leg,al residence and domicile in thc State
of Florid~.
(I~eri here any pntineat facts,:uch a sale of propertr or business. o~ telinQuish\ t ot emplolrment af former
don?icile. remova! of family to new domicile, pwehase ot hane. etc.) ~
.
ENTERING CHILDREN IN SCHOOL: ~ HOMESTEAD
EXEMPTION:
a.
If entering children in school,
ple se list their names: ~ -
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' ftLEQ dM0 REC A~E
aT. ~uc~r ceu~r~ir Fu~,
ROSEP ?~IiR~1S
CLfRK Cln;!?~T ~p~lRT o~
RECOR~ VERtF~fp~~~~
. A~c f~ ~t 17 ~I'l5
3~.4'~D .
1 FUR'~'HfR CFRTiFY that I will rcgister at my locat addmss whcn the registration books reopen, artd
compty with ali othcr requirements of a legat resident af tliis State. -
l FURTHCK CIiRTIFY fl~at 1 l~ave no intention to return to my former domicile, and I i~tend to remain in
.
~ ~ ST . LUC IE , County,
Florida, pcrmanently. <<~''r~
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S~ira`~'r~fo.ani~subsc~3,cd bcfon mc this day of /
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R~~' ~ • ~..~~LL•'RK_CIRCUZT~OURZ _ ,,G~ - , Florida .
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